300 - Health Perception/Health Management

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Discuss the focus of the health perception-health management pattern and its impact on health

-a client's perceived understanding of health and well-being and of how health is managed
-major health concerns and goals
-risk management/safety practices, adherence to mental and physical health promotion activities
-person-environment factors that place a client at risk for infection injury and other conditions

Describe the health perception-health management pattern assessment.

-Obtain data about:
-perceived health status, health management, and healthcare behaviors

Assessment Parameters:
-health and safety practices
-previous patterns of adherence
-use of the healthcare system
-patterns indicating at what point healthcare is sought
-accessibility of healthcare (financial, insurance, transportation)

Prochaska's Model of Change:

also called Transtheoretical Model of change
-process you go through when trying to make a change (ex. Quitting smoking)
-Precontemplation:
-denies having a problem
-may feel situation is hopeless
-no intention of taking action within 6 months
-Contemplation:
-acknowledges having a problem
-researches causes and possible solutions
-not ready to commit to action
-intends to take action within 6 months
-Preparation:
-plans to take action
-makes adjustments before beginning action
-take action within next 30 days and may have taken some behavioral steps toward that intent
-Action:
-modifies behavior and surroundings
-has changed overt behavior for more than 6 months
-Maintenance:
-integrates new behavior into lifestyle
-overt behavior changed for more than 6 months
-Termination:
-copes without fear of relapse
-confident that overt behavior will never return

Rosenstock's Health Belief Model

-people's motivation to change dependent on four factors:
1. Must be susceptible to illness or disease
2. Disease must be serious
3. Benefits of intervention must outweigh any barriers
4. Cues to action

Pender's Health Promotion Model

-builds upon health belief model but adds client's health-promoting behaviors
-Individual characteristics and experiences
-prior related behavior
-personal factor
-Behavior specific cognitions and affect:
-perceived benefits of action
-perceived barriers to action
-perceived self-efficacy
-activity-related affect
-interpersonal influences
-situational influences

Suchman's Model of Illness Behavior

-Stage 1: Symptom Experience
-believe something is wrong
-Stage 2: Assumption of the sick role
-accepts role and seeks confirmation
-Stage 3: Medical care contact
-seeks medical advice
-Stage 4: Dependent client role
-becomes dependent on the professional for help
-Stage 5: Recovery or Rehab
-relinquish the dependent role
-resume former roles

Describe factors influencing health care adherence.

-client motivation
-degree of lifestyle change necessary
-perceived severity of problem
-value placed on reducing threat of illness
-difficulty understanding and performing behaviors
-degree of inconvenience of illness or regimen
-complexity, side effects, duration of therapy
-culture
-relationship with health care provider
-cost of therapy

Ineffective Management of Therapeutic Regimen

-pattern of regulating and integrating into daily living a program for treatment of illness that is unsatisfactory for meeting specific health goals
-person is faced with complex regimen or has compromised functioning that impedes successful management
-Outcome: will return-demonstrate appropriate technique or procedures for self-care by (date)
-Interventions: help identify areas of conflict and barriers and come up with possible solutions

Ineffective Health Maintenance

-inability to identify, manage, and seek out help to maintain health
-appropriate for someone who expresses a desire to change an unhealthy behavior
-Outcome: will describe at least (#) contributing factors that lead to health maintenance alteration and at least one measure to alter each factor by (date)
-Interventions: assist patient to identify factors contributing to health maintenance and measures to alter the factors

Health-Seeking Behaviors

-a state in which an individual in stable health is actively seeking ways to alter personal health habits and or the environment in order to move toward a higher level of health
-Outcomes: Will (increase/decrease) (habit) by (amount) by (date)
-Interventions: teach the patient about activities for promotion of health and prevention of illness

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